“RESPECTIVE STATIOn LOGO/HEADING

FREEDOM OF INFORMATION (FOI)

PORMA SA PAGHILING NG DOKUMENTO/
DOCUMENT REQUEST FORM

NGALAN SA DOKUMENTO/Title of the Document Requested: List of Personnel

MGA TAON/PANAHONG SAKLAW/Period Covered (as maybe applicable): November 28, 2018
LAYUNIN/Purpose: Cash Award
PANGALAN/Name of Requesting Person: Juridical Canadian PETSA/Date: November 28, 2018
Company
LAGDA/Signature:
TIRAHAN/Address:
Canada
TELEPONO/Telephone: 09955384049 FAX: N/A
If Represented, Name of Representative:
With any Government Issued ID:
KATIBAYAN NG PAGKAKAKILANLAN/Valid Proof of Identity or any Government Issued ID: (Lagyanng tsek)
____ Passport No. __________________________________________________________
____ Driver’s License: _______________________________________________________
____ School/Company ID: ____________________________________________________
__/_ Others: Letter Request
PARAAN NG PAGTANGGAP NG IMPORMASYON/How would you like to receive the information? (Lagyanng tsek)
____ E-mail (e-mail address): _________________________________________________
____ Fax (Fax No.): _________________________________________________________
____ Registered Mail (Mailing Address): ________________________________________
__/__ Pick-up (Preferred time within office hours): November 29, 2018 at 3:00 in the afternoon.
In what form would you like to receive the information? (Lagyanng tsek)
__/__ Printed ____ Photocopy ____ Soft Copy
For tracking purposes: (Should indicate Control Number for Data Tracking)
Ang bahaging ito ay pupunanng PNP (To be filled-out and kept by the PNP)
TBD MPS-2019-01-001
Gawaing itinalagakay/Forwarded to: ___________________________________________
(Lumagda sa ibabaw ng pangalang nakalimbag)

Taong nagpapatunay ng gawaing natapos/Certified by:_____________________________

(Lumagda sa ibabang pangalang nakalimbag)

Uri ng isinagawang aksyon/Type of action conducted:______________________________

Tinanggap ni/Received by: ___SPO1 WELSON PONGASE

(FOI Receiving Officer)

Time and Date Received/Oras at Petsang Pagtanggap: November 28, 2018 /2:00 in the afternoon
 FREEDOM OF INFORMATION (FOI)
PORMA SA PAGHILING NG DOKUMENTO/
DOCUMENT REQUEST FORM

NGALAN SA DOKUMENTO/Title of the Document Requested: List of Personnel

MGA TAON/PANAHONG SAKLAW/Period Covered (as maybe applicable):
LAYUNIN/Purpose:
PANGALAN/Name of Requesting Person: PETSA/Date:
LAGDA/Signature:
TIRAHAN/Address:
Canada
TELEPONO/Telephone: FAX: N/A
If Represented, Name of Representative:
With any Government Issued ID:
KATIBAYAN NG PAGKAKAKILANLAN/Valid Proof of Identity or any Government Issued ID: (Lagyanng tsek)
____ Passport No. __________________________________________________________
____ Driver’s License: _______________________________________________________
____ School/Company ID: ___________________________________________________
__/_ Others: Letter Request
PARAAN NG PAGTANGGAP NG IMPORMASYON/How would you like to receive the information? (Lagyanng tsek)
____ E-mail (e-mail address): _________________________________________________
____ Fax (Fax No.): _________________________________________________________
____ Registered Mail (Mailing Address): ________________________________________
__/__ Pick-up (Preferred time within office hours): November 29, 2018 at 3:00 in the afternoon.
In what form would you like to receive the information? (Lagyanng tsek)
__/__ Printed ____ Photocopy ____ Soft Copy
For tracking purposes: (Should indicate Control Number for Data Tracking)
Ang bahaging ito ay pupunanng PNP (To be filled-out and kept by the PNP)
GCPS blotter No. 112918-01
Gawaing itinalagakay/Forwarded to: ___________________________________________
(Lumagda sa ibabaw ng pangalang nakalimbag)

Taong nagpapatunay ng gawaing natapos/Certified by:_____________________________

(Lumagda sa ibabang pangalang nakalimbag)

Uri ng isinagawang aksyon/Type of action conducted:______________________________

Tinanggap ni/Received by: ______________________

(FOI Receiving Officer)

Time and Date Received/Oras at Petsang Pagtanggap: _______________________________